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Licensing details for: 100778

Name: HALES, TYLER

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

3507 Tres Rios
SAN CLEMENTE CA 92673-3822
ORANGE county
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Practice Location

777 Corporate Dr Ste 100
LADERA RANCH CA 92694-2138
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Issuance Date

August 26, 2016

Expiration Date

May 31, 2027

Current Date / Time

December 15, 2025
12:40:21 PM

License Relationships

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: FACER HALES PARKER DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 18267 Primary Status: Expired

Address :
777 Corporate Dr
Ste 100
LADERA RANCH CA 92694-2135

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: HALES AESTHETIC DENTAL OFFICE OF DR. TYLER HALES

License/Registration Type: Fictitious Name Permit

License Number: 19082 Primary Status: Expired

Address :
2600 EAST COAST HWY., SUITE 260
CORONA DEL MAR CA 92625
ORANGE COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: HALES PARKER DENTISTRY DENTAL GROUP OF DR TYLER HALES AND DR LINCOLN PARKER

License/Registration Type: Fictitious Name Permit

License Number: 15062 Primary Status: Expired

Address :
777 CORPORATE DR., SUITE 100
LADERA RANCH CA 92694
ORANGE COUNTY

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